Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.59 / $3,336.30 / $14,482.00	Facility		$1,645.59	$3,336.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.98 / $1,681.18 / $5,469.17	Professional		$1,541.98	$1,681.18	$5,469.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.71 / $4,278.96 / $11,133.54	Professional		$1,611.71	$4,278.96	$11,133.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,181.20 / $4,886.06 / $7,881.04	Facility		$4,181.20	$4,886.06	$7,881.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.37 / $5,069.08 / $6,687.34	Professional		$2,209.37	$5,069.08	$6,687.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,482.80 / $1,925.34 / $3,248.97	Facility		$1,482.80	$1,925.34	$3,248.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,631.08 / $2,803.00 / $7,700.00	Facility		$1,631.08	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,860.13 / $4,402.37 / $11,032.99	Professional		$1,860.13	$4,402.37	$11,032.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,074.73 / $3,391.75	Professional		$85.00	$1,074.73	$3,391.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,482.80 / $1,925.34 / $3,248.97	Facility		$1,482.80	$1,925.34	$3,248.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,181.75 / $4,913.10 / $6,644.76	Professional		$3,181.75	$4,913.10	$6,644.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,303.15 / $13,303.15 / $13,303.15	Facility		$13,303.15	$13,303.15	$13,303.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,258.94 / $8,004.30 / $15,376.51	Professional		$2,258.94	$8,004.30	$15,376.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,340.23 / $8,340.23 / $8,340.23	Professional		$8,340.23	$8,340.23	$8,340.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,809.80 / $9,585.08 / $9,585.08	Professional		$7,809.80	$9,585.08	$9,585.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.21 / $4,698.78 / $7,843.65	Professional		$1,859.21	$4,698.78	$7,843.65